KATHRYN MCCOY SAMSOM NPI 1710282710

NPI Information

NPI: 1710282710
Provider Name: KATHRYN MCCOY SAMSOM
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
10373 NE HANCOCK ST
PORTLAND, OR
ZIP 97220
Phone: (503) 238-0769
Get Directions

Kathryn Mccoy Samsom is a psychiatric/mental health registered nurse in Portland, OR. Kathryn Mccoy Samsom NPI is 1710282710. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10373 NE HANCOCK ST
PORTLAND, OR
ZIP 97220-873
Phone: (503) 238-0769
Fax: (503) 552-6208

The enumeration date for this NPI number is 1/21/2011 and was last updated on 1/21/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			No
2	163WP0808X	Registered Nurse	Psychiatric/Mental Health	099007163RN	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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